Erik Fetner, M.D., P.a.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

K2328 Issued in TX

Legal business name

ERIK FETNER, M.D., P.A.

Practice address

3600 Gaston Ave
Suite 1209
Dallas, TX 75246-1800

Phone

(214) 824-2573

Fax

(214) 824-2575

NPI assigned

Apr 4, 2006

Last updated

Oct 3, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Erik Glenn Fetner, M.D.NPI 1033302062

Title

President

Phone

(214) 824-2573

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erik Glenn Fetner, MD

  • Colon & Rectal Surgery Physician
  • Fargo, ND
  • NPI 1033302062
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1144282211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 1209",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-824-2573",
            "fax_number": "214-824-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE",
            "address_2": "SUITE 1209",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461800",
            "telephone_number": "214-824-2573",
            "fax_number": "214-824-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIK FETNER, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "FETNER",
        "authorized_official_first_name": "ERIK",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-824-2573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "K2328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Erickson, M.S.,R.N.,C.P.N.P
• Linda Lucia Erickson, SLP
• Bethany Ericson
• Laura Ericson, BCBA
• Lucy Rose Ericson, OTR
• Florence Eriken
• Erin H Enterprises LLC (Hous of Wigs)
• Erin M. Stark, DC, Ficpa, PA (APEX Wellness Center)
• Ernest L. Khoury MD PA
• Lisa Ernest

• Colon & Rectal Surgery Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Colon & Rectal Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.